Evidence map›Paper›PMID 35754043›Full record

Trial reportBMC oral health2022

Sutureless socket technique after removal of third molars: a multicentric, open, randomized controlled trial.

Sarah Takadoum, Grégory Douilly, Marie de Boutray, Sarah Kabani, Eric Maladière, Christophe Demattei, Philippe Lapeyrie

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC oral health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02583997 (Non-closure of Alveoli After Avulsion of Wisdom Teeth), which is not on this map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02583997 nacompletednot on this map

Non-closure of Alveoli After Avulsion of Wisdom Teeth: a Randomized, Open, Multicenter Trial

TypeinterventionalSponsorCentre Hospitalier Universitaire de NīmesRan2016 to 2018Enrolled100ConditionsWisdom Tooth AvulsionArmsSuturing of lower alveoli, Non suturing of lower alveoli
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sarah TakadoumService de Chirurgie Orale, Department of Oral Surgery, CHU Nîmes, CHRU de Nîmes - Hôpital Universitaire Carémeau, University of Montpellier, Place du Professeur Debré, 30029, Nîmes Cedex 9, France. takadoumsarah@gmail.com.
Grégory DouillyPôle de Chirurgie Orale, 320 rue René Cassin, 84000, Avignon, France.
Marie de BoutrayDepartment of Maxillofacial Surgery, Montpellier Regional University Hospital - Gui de Chauliac Hospital, Montpellier, France.
Sarah KabaniDepartment of Biostatistics, Clinical Epidemiology, Public Health and Innovation in Methodology (BESPIM), CHU Nîmes, University of Montpellier, Nîmes, France.
Eric MaladièreDepartment of Maxillofacial Surgery, Perpignan Hospital Perpignan, Perpignan, France.
Christophe DematteiDepartment of Biostatistics, Clinical Epidemiology, Public Health and Innovation in Methodology (BESPIM), CHU Nîmes, University of Montpellier, Nîmes, France.
Philippe LapeyrieService de Chirurgie Orale, Department of Oral Surgery, CHU Nîmes, CHRU de Nîmes - Hôpital Universitaire Carémeau, University of Montpellier, Place du Professeur Debré, 30029, Nîmes Cedex 9, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough wisdom-tooth extraction is a routine intervention, the postoperative period remains marked by local inflammation classically manifesting as pain, edema and trismus. Furthermore, there is no consensus on the best operative techniques, particularly for the mucosal closure stage on impacted mandibular wisdom teeth.

methodsThis parallel, randomized, non-blinded study compared pain following removal of impacted third molars, with and without sutures. Patients were electronically allocated 1:1 to extraction with versus without sutures. Patients ≥ 14 years' old scheduled for extraction of four impacted wisdom teeth under general anesthesia at three French hospitals were eligible for inclusion. Exclusion criteria included taking antiplatelet agents or anticoagulants, coagulation disorders or immunosuppression, and planned orofacial surgical procedures or emergency pain/infection. The primary objective was pain evaluated by Visual Analogue Scale on Day 3. Secondary outcomes were edema, trismus, healing, complications, painkiller consumption and quality of life on Day 3 and 31.

resultsBetween June 2016 and November 2018, 100 patients were randomized. Finally, 44 patients in the Suture group and 50 patients in the Without Suture group were analyzed. Mean age was 16.5 years and 66.6% of patients were female. After adjustment on center, age and smoking, no statistical difference was seen between groups for pain on Day 3 (p = 0.904). No differences were seen for swelling, trismus, consumption of painkillers, healing, complications or quality of life. Smokers had a 3.65 times higher complications rate (p = 0.0244).

conclusionsSutureless removal of third molars is thus a reliable technique without negative consequence on outcomes, and allows shorter operating time. Smoking is a risk factor for postoperative complications. Trial registration www. CLINICALTRIALS: gov (NCT02583997), registered 22/10/2015.

Indexed as

Molar, ThirdTooth, ImpactedAdolescentEdemaFemaleHumansMaleMandiblePainPostoperative PainQuality of LifeTooth ExtractionTrismusEdemaMolar, thirdPain, postoperativeSutureless surgical proceduresTooth, impactedWound healing

Identifiers

PMID35754043
PMCPMC9233809

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.